NCLEX NCLEX-PN Online Practice Questions and Exam Preparation

NCLEX NCLEX-PN Online Questions & Answers

• Question 141:

  A nurse is teaching a group of clients with a diagnosis of Schizophrenia who are nearing discharge from a residential care facility.

  An essential topic to include is ___________.

  A. pathophysiology of the disease and expected symptoms
  B. how to recognize and manage symptoms of relapse
  C. the need to take extra medication when feeling stressed
  D. the importance of contact with follow-up care daily
  B. how to recognize and manage symptoms of relapse

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  Clients are usually aware of the symptoms that indicate relapse is occurring. The client needs to know how to find a safe environment and to seek help. The first two stages of relapse are more difficult to recognize because they do not present symptoms that indicate psychosis. Initially, the client feels anxious and overwhelmed, and might become withdrawn. This is the crucial period to intervene. The client needs to go to a safe environment with someone who is trusted, avoid negative people, and decrease stimuli and stress.

• Question 142:

  Mr. Lee comes to the clinic with thick green drainage around his eyelids. The nurse examiner takes his history and performs a physical examination, beginning with an eye history. General information the nurse should seek is __________.

  A. type of employment
  B. burning or itchy sensation in the eyes
  C. position of the eyelids
  D. existence of floaters
  A. type of employment

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  Explanation Explanation/Reference:Data belonging in a general health history of the eye includes employment, activities, allergies, medications, lenses, and protective devices used. Exposure to irritants and activity risks should be delineated. Routine care of eyes and eye devices should be explored.

• Question 143:

  The LPN is instructing a patient on post-op care after nasal surgery.

  Which of these statements would be incorrect?

  A. Needing to change the gauze under the nose every 15 minutes for the first few hours after surgery is expected.
  B. Feelings of numbness and facial fullness around the nose should be reported immediately.
  C. Glasses may be worn with the nasal splint in place.
  D. Sleep propped up at a 45 degree angle for the first few postoperative days.
  B. Feelings of numbness and facial fullness around the nose should be reported immediately.

• Question 144:

  The doctor has ordered 1,000 cc of intravenous fluid every 8 hours. You will be using intravenous tubing that delivers 20 cc/drop.

  At what rate will you adjust the intravenous fluid flow?

  _____ gtts per minute.

  A. 38 gtts/min
  B. 42 gtts/min
  C. 50 gtts/min
  D. 40 gtts/min
  B. 42 gtts/min

• Question 145:

  A client diagnosed with Borderline Personality Disorder frequently attempts to burn herself.

  The best intervention to facilitate behavior change is __________.

  A. constantly observing the client to prevent self-harm
  B. enlisting the client in defining and describing harmful behaviors
  C. checking on the client every 15 minutes to ensure she is not engaging in harmful behavior
  D. removing all items from the environment that the client could use to harm herself
  B. enlisting the client in defining and describing harmful behaviors

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  The challenge when intervening with clients who might harm themselves is to maintain client safety while facilitating behavior change. Enlisting the client to identify the triggers for self-harm makes the client an active participant in treatment. Nurses are less judgmental when they understand the source of the behavior and can be sensitive to client feelings.

• Question 146:

  An 85-year-old client is eligible for Medicare reimbursable home care services.

  Referral is contingent on meeting which of the following criteria?

  A. homebound status, requiring skilled therapy care
  B. immediate previous hospitalization for acute care
  C. age
  D. requirement of nursing and social work support
  A. homebound status, requiring skilled therapy care

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  The requirements for Medicare-reimbursable home care services include the client being homebound and requiring a skilled service, such as PT/OT/ST/nursing/social work.

• Question 147:

  What classification of drug is Diltiazem?

  A. Beta-Blocker
  B. Calcium-Channel Blocker
  C. ACE Inhibitor
  D. NSAID
  B. Calcium-Channel Blocker

• Question 148:

  The intent of the Patient Self Determination Act (PSDA) of 1990 is to __________.

  A. enhance personal control over legal care decisions
  B. encourage medical treatment decision making prior to need
  C. give one federal standard for living wills and durable powers of attorney
  D. emphasize client education
  B. encourage medical treatment decision making prior to need

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  Explanation Explanation/Reference:The purpose of the PSDA is to promote decision-making prior to need. Choices "enhance personal control over legal care decisions", "give one federal standard for living wills and durable powers of attorney" and "emphasize client education" are incorrect. The focus of the PSDA is individual health care decision-making. A federal standard for advance directives does not exist. Each state has jurisdiction regarding these policies and protocols.

• Question 149:

  Which of these medications has the least risk of causing tinnitus?

  A. Aspirin
  B. Gentamicin
  C. Fluoxetine
  D. Lasix
  C. Fluoxetine

• Question 150:

  The nurse assesses a client for physiological risk factors for falls.

  The nurse should conclude that the client is not at risk if which of the following is discovered?

  A. history of dizziness
  B. need for wheelchair due to reduced mobility
  C. weakness and fatigue noted when climbing stairs
  D. intact recent and remote memory
  D. intact recent and remote memory

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  Explanation Explanation/Reference:Intact recent and remote memory indicates that a client is not at risk for falls. Risk for falls can occur in elder clients, and the nurse should assess each client for the possibility of falls and take appropriate actions.